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General NPI Number Information
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NPI Number | 1093431132
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Entity Type | Organization
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Legal Business Name | UNIMEDD ADULT DAY CARE, LLC
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Dates
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Enumeration Date | 10/19/2022
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 4680 NW 183RD ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-3054
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Country | US
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Telephone | 305-917-4850
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Fax | 305-454-9576
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Provider Business Mailing Address
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Address Line | 4680 NW 183RD ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-3054
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Country | US
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Telephone | 305-917-4850
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Fax | 305-454-9576
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JOSE IGNACIO DIAZ
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Credential |
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Telephone | 305-216-0064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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